Gonzalez Arroyo, Efrain

Gonzalez Arroyo, Efrain was paid $168K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 95% of everything it billed.

33Billing provider infoGONZALEZ ARROYO, EFRAIN
SANTURCE, PR 00909

33aNPI1710078704assigned 09/27/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$168K

24GClaims2,659

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Puerto Rico

Rank by total paid#10 of 52

Median peer was paid$23K

This provider vs. median7.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	460	$10K
2019	165	$3K
2020	336	$18K
2021	630	$47K
2022	150	$11K
2023	420	$37K
2024incomplete	498	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	95%	2,509	649	$161K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	69	67	$4K
99223	Prolong inpt eval add15 m	1.0%	12	12	$2K
99205	Prolong outpt/office vis	<1%	38	38	$858.00
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	18	18	$796.00
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	13	$256.74

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.